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Rediscovery of Severe Saw-Scaled Viper (Echis sochureki) Envenoming in the Thar Desert Region of Rajasthan, India  D.K. Kochar, MBBS, MD, P.D. Tanwar,

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Presentation on theme: "Rediscovery of Severe Saw-Scaled Viper (Echis sochureki) Envenoming in the Thar Desert Region of Rajasthan, India  D.K. Kochar, MBBS, MD, P.D. Tanwar,"— Presentation transcript:

1 Rediscovery of Severe Saw-Scaled Viper (Echis sochureki) Envenoming in the Thar Desert Region of Rajasthan, India  D.K. Kochar, MBBS, MD, P.D. Tanwar, MBBS, MD, Robert L. Norris, MD, M. Sabir, MBBS, MD, K.C. Nayak, MBBS, MD, T.D. Agrawal, MBBS, MD, V.P. Purohit, MBBS, MD, A. Kochar, MBBS, Ian D. Simpson, BSc, DM  Wilderness & Environmental Medicine  Volume 18, Issue 2, Pages (June 2007) DOI: /06-WEME-OR-078R.1 Copyright © 2007 Wilderness Medical Society Terms and Conditions

2 Figure 1 Adult northern saw scaled viper (Echis sochureki) poised to strike in the Thar desert. Wilderness & Environmental Medicine  , 75-85DOI: ( /06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions

3 Figure 2 The use of “morpunki” in a victim of Echis sochureki envenoming. A peacock feather is tied loosely above the bitten foot in the belief that it will prevent venom absorption. Wilderness & Environmental Medicine  , 75-85DOI: ( /06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions

4 Figure 3 Fixed, dilated right pupil in a 24 year old victim of Echis sochureki envenoming complicated by intracranial hemorrhage (22½hours following the bite). Wilderness & Environmental Medicine  , 75-85DOI: ( /06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions

5 Figure 4 Severe anemia (haemoglobin 2gm/dl) demonstrated by a pale tongue in a 64 year old patient bitten by Echis sochureki (at 66½hours following the bite) (see also figures 5 and 6. Wilderness & Environmental Medicine  , 75-85DOI: ( /06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions

6 Figure 5 Abdominal wall ecchymosis in the same victim shown in figures 4 and 6. Wilderness & Environmental Medicine  , 75-85DOI: ( /06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions

7 Figure 6 Gluteal ecchymosis in the same victim shown in figures 4 and 5. Wilderness & Environmental Medicine  , 75-85DOI: ( /06-WEME-OR-078R.1) Copyright © 2007 Wilderness Medical Society Terms and Conditions


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